
Umhlaza wamabele sisifo esintsonkothileyo esineendlela ezahlukeneyo zonyango ngokuxhomekeke kwinqanaba, uhlobo, kunye neempawu zomntu ngamnye. Esi sikhokelo sibanzi siphonononga ezahlukeneyo unyango unyango umhlaza webele ukhetho, ukunika ulwazi ukukunceda uqonde ukhetho lwakho kwaye wenze izigqibo ezizizo. Siza kugubungela utyando, unyango lweradiation, ichemotherapy, unyango lwehomoni, unyango ekujoliswe kulo, kunye nokhathalelo oluxhasayo, sigxininisa ukubaluleka kobuntu. unyango unyango umhlaza webele izicwangciso.
Ngaphambi kokuba nixoxe unyango unyango umhlaza webele ukhetho, kubalulekile ukuqonda amanqanaba ahlukeneyo kunye neentlobo zomhlaza wamabele. Inqanaba libonisa ubungakanani bokusasazeka komhlaza, ngelixa uhlobo lubhekisa kwiiseli ezithile ezibandakanyekayo. Olu lwazi lunempembelelo enkulu ekucetyiswayo unyango unyango umhlaza webele iqhinga. Ukuxilongwa ngokuchanekileyo kunye nesiteji ngamanyathelo okuqala ekudaleni ukulungelelanisa unyango unyango umhlaza webele isicwangciso. Ngolwazi oluthe kratya malunga nenqanaba lomhlaza wamabele, unokujonga iwebhusayithi yeZiko loMhlaza leSizwe.1
I-lumpectomy ibandakanya ukususa ithumba elinomhlaza kunye nomda omncinci wezicubu eziphilileyo ezijikelezileyo. Le nkqubo igcina ibele kwaye isoloko idityaniswa nonyango lwemitha. Lukhetho olufanelekileyo kwisigaba sokuqala somhlaza wamabele.
Imastectomy ibandakanya ukususwa kwebele lonke ngotyando. Iintlobo ezahlukeneyo ze-mastectomies zikhona, kubandakanywa i-mastectomies elula, eguquliweyo, kunye ne-radical mastectomies, nganye inamanqanaba ahlukeneyo okususwa kwezicubu. Ukhetho luxhomekeke kwizinto ezifana nobukhulu bethumba, indawo, kunye nokukhethwa kwesigulana.
Le nkqubo inceda ukufumanisa ukuba umhlaza unwenwele kwii-lymph nodes. Kubandakanya ukususa ii-lymph nodes ezimbalwa ukujonga iiseli zomhlaza. Ukuba umhlaza awufunyaniswanga kwi-sentinel nodes, ukususwa okungaphezulu kwe-lymph node kunokuba yimfuneko.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza kunye nokuncipha kwamathumba. Ihlala isetyenziswa emva kotyando ukuphelisa naziphi na iiseli zomhlaza eziseleyo okanye ngaphambi kotyando ukucutha ithumba elikhulu. Imiphumo emibi ingabandakanya ukucaphuka kwesikhumba kunye nokukhathala.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziselwa umhlaza webele we-metastatic okanye ukunciphisa umngcipheko wokuphindaphinda emva kokuhlinzwa. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka isicaphucaphu, ukulahleka kweenwele, kunye nokudinwa.
Unyango lweHormonal lusetyenziselwa umhlaza wamabele we-hormone-receptor-positive. Isebenza ngokuthintela iihomoni ezikhuthaza ukukhula komhlaza. Inokulawulwa ngeepilisi, iinaliti, okanye izifakelo. Imiphumo emibi iyahluka ngokuxhomekeke kwiyeza elithile.
Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. Ezi zonyango zilungelelaniswe kwiinguqu ezithile zofuzo kwaye zinokuthi zisebenze ngakumbi kwaye zibe nemiphumo emibi embalwa kune-chemotherapy yendabuko. Imizekelo ibandakanya iHerceptin (trastuzumab) ye-HER2-positive umhlaza webele.
Ukhathalelo oluxhasayo lujolise ekuphuculeni umgangatho wobomi besigulane ngexesha unyango unyango umhlaza webele nangaphaya. Oku kuquka ukulawula iziphumo ebezingalindelekanga, ukunika inkxaso ngokweemvakalelo, kunye nokujongana neemfuno zesondlo. Amaziko amaninzi omhlaza abonelela ngezibonelelo kunye namaqela enkxaso kwizigulane kunye neentsapho zabo.
Eyona ilungileyo unyango unyango umhlaza webele Isicwangciso sixhomekeke kakhulu kumntu ngamnye kwaye sixhomekeke kwizinto ezahlukeneyo, kubandakanywa inqanaba kunye nohlobo lomhlaza, impilo yesigulana ngokubanzi, kunye nezinto ozikhethayo. Kubalulekile ukuxoxa ngazo zonke iindlela ezikhoyo kunye ne-oncologist ukuphuhlisa ulwazi olubanzi kunye nolwakho unyango unyango umhlaza webele iqhinga. Iziko loPhando ngoMhlaza laseShandong Baofa (https://www.baofahospital.com/) izinikele ekunikeni ukhathalelo olukwinqanaba eliphezulu nolovelwano kwizigulane ezinomhlaza wamabele.
1 Iziko lomhlaza leSizwe. (n.d.). Unyango loMhlaza wamabele (PDQ?)—Uguqulelo lobuNgcali bezeMpilo. Ifunyenwe kwi https://www.cancer.gov/types/breast/hp/breast-treatment-pdq
ecaleni>
umzimba>